Individual provider Active NPI

Katelyn Yerardi, PT, DPT, ATC

  • Physical Therapist
  • Hampton, NH
National Provider Identifier
1265106249
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5121 Issued in NH
Practice address
881 Lafayette Rd Ste K
Hampton, NH 03842-1242
Phone
(603) 929-2880
Fax
(603) 929-1296
NPI assigned
Aug 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25727 MA
Physical Therapist 225100000X 5121 NH Primary

Addresses

Primary practice location

881 Lafayette Rd Ste K
Hampton, NH 03842-1242

Mailing address

28 Portsmouth Ave Ste 11
Stratham, NH 03885-2584
Phone (603) 580-5919

Other practice location 1

28 Portsmouth Ave
Stratham, NH 03885-2550
Phone (603) 580-5919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211112000426 MA Practitioner - Physical Therapist in Private Practice 2769871730 Reassigns benefits to 1 organization
I20230322002202 NH Practitioner - Physical Therapist in Private Practice 2769871730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bodywise Physical Therapy LLCGroup PAC ID 1456453794, 10 clinicians

Practice addresses (Care Compare)

28 Portsmouth Ave
Suite 11
Stratham, NH 03885-2584
Phone (603) 679-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5121NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bodywise Physical Therapy LLC Physical Therapist CurrentSince Sep 11, 2023 Accepting new patients
Joint Ventures Physical Therapy, Inc. CurrentSince Aug 18, 2021 Accepting new patients
Joint Ventures Physical Therapy, Inc. Physical Therapist CurrentSince Aug 18, 2021 Accepting new patients
Pinnacle Rehabilitation Network,LLC Physical Therapist PastSince Mar 31, 2023 Accepting new patients

Locations

10 Liberty Sq
Bsmt 1
Boston, MA 02109

648 Beacon St
Boston, MA 02215
Phone (617) 353-9345

204 Worcester St
#200
Wellesley, MA 02481

204 Worcester St
Wellesley Hls, MA 02481
Phone (617) 566-0062

285 Calef Hwy
Unit 11
Epping, NH 03042
Phone (603) 679-8100

28 Portsmouth Ave
Stratham, NH 03885
Phone (603) 580-5919

28 Portsmouth Ave
Ste 11
Stratham, NH 03885
Phone (603) 679-8100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1265106249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 PORTSMOUTH AVE STE 11",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852584",
            "telephone_number": "603-580-5919",
            "fax_number": "603-580-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 LAFAYETTE RD STE K",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038421242",
            "telephone_number": "603-929-2880",
            "fax_number": "603-929-1296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Portsmouth Ave",
            "address_purpose": "LOCATION",
            "city": "Stratham",
            "state": "NH",
            "postal_code": "038852550",
            "country_code": "US",
            "telephone_number": "603-580-5919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YERARDI",
        "first_name": "KATELYN",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25727",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "5121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.